Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Antonio D Champion, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1619706520

Dr. Antonio D Champion, PHD, LCSW is a Clinical Social Worker in Maywood, Illinois. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

2109 S 8th Ave
Maywood, IL 60153-3230
Phone: (708) 356-6386
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.027393 (IL)

Record details

NPI number1619706520
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCSW
Sole proprietorYes
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address2109 S 8th Ave, Maywood, IL 60153-3230

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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